Danielle Alvarado
Hemlock,MI
Summary
Experienced Nurse Practitioner skilled in advanced assessment and rehabilitation planning. Coordinates interdisciplinary teams and delivers patient education to improve care outcomes. Utilizes strong clinical judgment and effective communication to develop treatment plans for medically complex patients.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Nurse Practitioner, Physiatry
Physical Medicine and Rehabilitation of Michigan
Saginaw, Michigan
01.2024 - Current
- Direct comprehensive evaluations and care planning for medically complex patients with spinal cord injuries, acute stroke, multi-trauma, and critical illness myopathy to guide appropriate rehabilitation treatment.
- Coordinate multidisciplinary teams, including physical therapy, speech therapy, occupational therapy, hospital medicine, consulting physicians, and case management, to ensure alignment of discharge plans and transition needs for optimal patient outcomes.
- Initiate diagnostic workups for mobility-related deficits and arranged specialty referrals to neurosurgery, neurology, orthopedics, pain specialist, and trauma services, thereby enhancing patient care based on clinical findings.
Nurse Practitioner
Convenient Urgent Care
Owosso, MI
01.2023 - 01.2024
- Directed ordering and interpretation of diagnostic resources, including blood draws, labs, cultures, imaging, telemetry, urinalysis, and rapid tests, to guide accurate diagnosis and treatment plans.
- Coordinated urgent referrals to specialists, ensuring timely access to dermatology, pulmonology, cardiology, addiction psychiatry, dental, orthopedics, urology, and physical or occupational therapy.
- Delivered interim primary care support for high-risk individuals awaiting primary care establishment, facilitating timely diagnosis, prescribing, and lab or testing orders.
- Managed sole coverage for a daily average of 30–50 patients during a 10-hour shift, maintaining continuity of care and timely response to patient needs.
Clinical Experience
Covenant Med Express
Saginaw, MI
04.2022 - 08.2022
- Performed focused assessments, reviewed diagnostic testing, and treated acute injuries/illnesses to ensure optimal patient outcomes.
- Utilized electronic health records in Epic systems to complete visit notes and provide educational handouts on diagnosis and treatment plans for enhanced patient understanding.
- Completed 120 clinical hours delivering patient care in a fast-paced acute care environment.
Clinical Experience
North Branch Family Healthcare of Marlette
North Branch, MI
04.2022 - 08.2022
- Completed 80 hours of specialized training in obstetrics and gynecology, performing routine screenings, pelvic and Pap exams, hormone replacement therapy, and contraceptive counseling to improve patient outcomes.
- Supported comprehensive, focused, and wellness assessments for pediatric, adult women, and geriatric populations, ensuring tailored healthcare delivery.
- Completed 120 clinical hours in primary care setting, emphasizing women's health and pediatrics to enhance patient care.
Clinical Experience
Recovery Pathways
Bay City, MI
01.2022 - 04.2022
- Completed 40 hours of clinical work in addiction and recovery settings.
- Conducted comprehensive initial assessments to create individualized medication assisted treatment plans for diverse substance use disorders.
- Developed patient-centered plans of care adhering to MIPS guidelines to enhance healthcare outcomes.
- Performed routine maintenance visits and coordinated with in-house therapy providers to assess plan of care effectiveness.
- Effectively and securely provided remote and telehealth services using the Athena electronic health system.
Clinical Experience
McLaren Regional Internal Medicine
Bay City, MI
01.2022 - 04.2022
- Documented comprehensive adult and geriatric patient visits in Cerner electronic medical record system, ensuring accurate and timely patient information.
- Educated patients on health promotion, disease prevention, and treatment options for acute and chronic conditions, fostering informed decision-making in adult and geriatric populations.
- Accumulated 130 clinical hours in primary care to enhance patient care.
Clinical Experience
Great Lakes Bay/Rosevelt Ruffin
Saginaw, MI
09.2021 - 12.2022
- Interpreted patient data, symptom patterns, assessment findings, and diagnostic results to guide diagnosis and treatment decisions.
- Provided age-appropriate screenings to promote early detection of health issues. and education on importance of preventive care.
- Logged 120 clinical hours in primary care, enhancing patient care through hands-on experience.
RN Case Manager
Covenant Healthcare
Saginaw, MI
05.2019 - Current
- Coordinated post-hospital resources for safe discharge, including home health care, home infusion, durable medical equipment, and outpatient dialysis.
- Collaborated with interdisciplinary team to evaluate discharge plans, ensuring alignment with patient-centered goals.
- Conducted new-admission assessments to identify discharge risks, facilitating timely discharge planning.
RN Homecare Nurse/Travel Registered Nurse
Supplemental Health Care
Troy, MI
06.2017 - 05.2019
- Managed comprehensive nursing procedures, including tracheostomy suctioning, venipuncture, infusion line maintenance, total parenteral nutrition, intramuscular and subcutaneous injections, ostomy and fistula care, Foley catheter management, Jackson-Pratt and Penrose drain care, wound care, infection prevention, suture and staple removal, and medication refill review to ensure optimal patient outcomes..
- Guided patients and caregivers on care interventions, disease processes, and prevention strategies to enhance patient understanding and adherence.
- Escalated abnormal findings to providers and intervened to improve outpatient management and reduce the risk of hospital admission.
RN Case Manager
RCG Consulting
Standish, MI
04.2017 - 08.2018
- Oversaw complex medical care for clients injured in auto accidents and work-related injuries, ensuring comprehensive treatment plans.
- Coordinated care between insurance companies and medical providers to ensure clients received the necessary medical services.
- Ethically and consciously monitored patient progress to offset the burden of cost to the payer by locating financially conservative alternatives.
- Assisted workers' compensation adjusters in obtaining work clearance for medically stable clients, streamlining the claims process.
- Provided attorneys with weekly updates on client care progress to facilitate informed legal strategies.
RN Case Manager
A&D Waiver Services
Saginaw, MI
11.2016 - 06.2017
- Coordinated supplemental services to support participants in home settings and prevent institutionalized care, including private duty caregivers, transportation, meals on wheels, medication dispensers, and life alert devices.
- Collaborated with a social worker to assess eligibility per Medicaid guidelines for program admission, emphasizing person-centered care tailored to individual needs.
- Conducted quarterly meetings with participants and families to evaluate program services and adjust based on changes in health status.
Nurse Liaison
Community Village Assisted Living
Saginaw, MI
05.2015 - 04.2017
- Facilitated communication between physicians and patients, reviewing lab results and medical procedures for abnormal findings, errors, and interactions to enhance patient safety.
- Developed and delivered educational in-services for medical staff to promote evidence-based practices and improve patient education on chronic disease prevention.
- Oversaw direct medical care for the total patient census in a sixty-bed assisted living facility, coordinating clinical needs to ensure quality patient outcomes.
RN Case Manager
Comfort Care Home Health Agency
Saginaw, MI
05.2015 - 05.2016
- Led development and implementation of processes at startup company to enhance patient safety and satisfaction.
- Collaborated with multidisciplinary teams, including physical therapy, occupational therapy, speech therapy, LPNs, CNAs, MSWs, and pastoral/bereavement care, to ensure comprehensive patient care.
- Conducted routine chart audits to ensure compliance with Medicare and Medicaid regulations and uphold standards of excellence.
Registered Nurse, Hospice
Wellspring Home Health Care
Frankenmuth, MI
08.2012 - 03.2014
- Implemented care plans, managed symptoms, and ordered necessary medical equipment while providing emotional support to patients and families.
- Managed care for an average weekly census of ten to fifteen patients, ensuring individualized treatment and support.
- Facilitated weekly communication with an interdisciplinary team, updating care plans based on collaborative recommendations.
- Supervised and educated home health aides and LPNs, enhancing team competency in patient care.
Registered Nurse, Cardiac/Post-Surgical
St. Francis Hospital
Columbus, GA
05.2011 - 07.2012
- Supported recovery for critically sensitive patients after cardiac catheterization and post-surgical procedures, to ensure optimal recovery and patient outcomes.
- Delivered patient education and care for complex conditions, improving understanding and management of myocardial infarctions, arrhythmias, asthma, COPD, hypertension, pneumonia, sepsis, diabetes, colitis, seizures, and congestive heart failure.
- Expanded nursing practice through unit rotations across hospital departments, enhancing clinical adaptability and collaboration.
- Earned nomination for the Daisy Award, recognizing exceptional nursing care provided to patients.
Education
Master of Science - Nursing, Family Nurse Practitioner
Saginaw Valley State University
Bay City, MI08-2022
Bachelor of Science - Nursing
Columbus State University
Columbus, GA06-2011
Skills
- Rehabilitation planning
- Advanced assessments
- Clinical judgment
- Diagnostic interpretation
- Diagnostic testing
- Care management
- EHR utilization
- Interdisciplinary collaboration
- Patient education
- Patient advocacy
- Professional communications
Certification
Certified, Family Nurse Practitioner Expires: 2027-10, Certified, Registered Nurse Expires: 2023-07
Accomplishments
- Received multiple "WOW" recognition badges for being personally identified for outstanding performance in Joint Commission Hospital Accreditation Surveys.
- Recognized for exceptional nursing care by receiving the DAISY award nomination, January 2013
Timeline
Nurse Practitioner, Physiatry
Physical Medicine and Rehabilitation of Michigan
01.2024 - Current
Nurse Practitioner
Convenient Urgent Care
01.2023 - 01.2024
Clinical Experience
Covenant Med Express
04.2022 - 08.2022
Clinical Experience
North Branch Family Healthcare of Marlette
04.2022 - 08.2022
Clinical Experience
Recovery Pathways
01.2022 - 04.2022
Clinical Experience
McLaren Regional Internal Medicine
01.2022 - 04.2022
Clinical Experience
Great Lakes Bay/Rosevelt Ruffin
09.2021 - 12.2022
RN Case Manager
Covenant Healthcare
05.2019 - Current
RN Homecare Nurse/Travel Registered Nurse
Supplemental Health Care
06.2017 - 05.2019
RN Case Manager
RCG Consulting
04.2017 - 08.2018
RN Case Manager
A&D Waiver Services
11.2016 - 06.2017
Nurse Liaison
Community Village Assisted Living
05.2015 - 04.2017
RN Case Manager
Comfort Care Home Health Agency
05.2015 - 05.2016
Registered Nurse, Hospice
Wellspring Home Health Care
08.2012 - 03.2014
Registered Nurse, Cardiac/Post-Surgical
St. Francis Hospital
05.2011 - 07.2012
Master of Science - Nursing, Family Nurse Practitioner
Saginaw Valley State University
Bachelor of Science - Nursing
Columbus State University